RAY BURNETT BENNETT MD

PRIVIA MEDICAL GROUP OF GEORGIA LLC

Dr RAY BURNETT BENNETT MD is a male medical professional, specializing in Family Medicine. He graduated in 1997 from Meharry Medical College School Of Medicine.

Contact

PRIVIA MEDICAL GROUP OF GEORGIA LLC

101 YORKTOWN DR
SUITE 100
FAYETTEVILLE
GA
302147663

Tel: 7704604285

RAY BURNETT BENNETT MD Information

Npi 1841317138
Pac Id 7416915772
Professional Enrollment Id I20070430000325
Last Name BENNETT
First Name RAY
Middle Name BURNETT
Suffix
Gender M
Credential MD
Medical School Name MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Graduation Year 1997
Primary Specialty FAMILY MEDICINE
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
All Secondary Specialties
Organization Legal Name PRIVIA MEDICAL GROUP OF GEORGIA LLC
Group Practice Pac Id 4284951542
Number Of Group Practice Members 204
Line 1 Street Address 101 YORKTOWN DR
Line 2 Street Address SUITE 100
Marker Of Address Line 2 Suppression
City FAYETTEVILLE
State GA
Zip Code 302147663
Phone Number 7704604285
Hospital Affiliation Ccn 1 110215
Hospital Affiliation Lbn 1 PIEDMONT FAYETTE HOSPITAL
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

Do you know RAY BURNETT BENNETT MD?

Leave your comments, questions and feedback on this listing below. You can also correct any listing errors or omissions.